Sedgwick
Sedgwick
Sedgwick бүкіл әлемдегі ұйымдарға технологияға негізделген тәуекелдерді басқару, қызметкерлерге берілетін жеңілдіктер және интеграцияланған бизнес шешімдерін ұсынады. Компания жазатайым оқиға, денсаулық, еңбекке жарамсыздық, жұмыссыздық бойынша өтемақы және жауапкершілік талаптарын реттеумен қатар, консалтинг, сот-бухгалтерлік сараптама, сот-инженерлік сараптама, мүлікті қалпына келтіру, брендті қорғау және шығындардың алдын алу қызметтерін дамытады. Sedgwick құрылыс, консалтинг, денсаулық сақтау, ауыл шаруашылығы және қоршаған ортаны қорғау қызметтері сияқты салалардағы клиенттерге қолдау көрсетеді және әртүрлілікке, теңдікке, инклюзияға, сондай-ақ экологиялық, әлеуметтік және корпоративтік басқару тәжірибелеріне басымдық беретінін мәлімдейді.

Workers' Compensation Claims Associate

Process and adjudicate lower-level workers' compensation claims for Sedgwick, including benefit determinations, documentation, payments, and claimant communications in an onsite role.

Сипаттама

  • Review reported workers' compensation claims and determine eligible benefits
  • Adjudicate claims according to company standards and industry best practices
  • Handle medical-only and minor lost-time claims under close supervision
  • Assist claims representatives, examiners, and leads with complex claims
  • Process claims, assess compensability and benefits, monitor reserves, and submit required state documentation
  • Communicate claim decisions and processing updates with claimants, clients, and medical contacts
  • Maintain complete claim files and accurate coding
  • Process routine payments, prescriptions, and status reports for lifetime or defined-period medical claims
  • Build and maintain professional client relationships

Талаптар

  • High school diploma or GED required
  • Required licenses must be obtained as applicable
  • At least one year of general office experience or an equivalent combination of education and experience
  • Claims industry experience is preferred
  • Strong conceptual and clear-thinking skills
  • Sound judgment with troubleshooting, problem-solving, analytical, and discretionary abilities
  • Ability to manage work-related stress
  • Ability to balance multiple priorities
  • Reliable deadline management
  • Computer keyboarding proficiency
  • Willingness to travel as required

Артықшылықтар

  • Flexible scheduling options
  • Employee referral incentive program
  • Career development and advancement opportunities
  • Medical, dental, and vision coverage
  • 401(k) eligibility beginning on the first day

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